Shelko, Raymond Anthony
Shelko, Raymond Anthony is an individual health care provider with primary practice located at 1090 Goat Springs Road , Taos NM 87571-1946. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shelko, Raymond Anthony can be contacted via phone (575) 758-4224.Contact Information
Primary practice address
1090 Goat Springs Road
Taos NM 87571-1946
Phone: (575) 758-4224
Fax: (575) 751-5210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8722 | Georgia |
Profile Details
| NPI number | 1053442483 |
|---|---|
| LBN Legal business name | Shelko, Raymond Anthony |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Mar 1st, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053442483 | NPPES |
| New Mexico | MEDICAID | K3543 | |
| New Mexico | MEDICAID | 49382861 |
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